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Pz; mit No. <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned <br />APPLICATION FOR DRIVEWAY PERMIT <br />S !4 <br />U! 5. <br />Hereby opplies for permission to_L�` <br />At the following location— 8o_9 f 1 j= <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damages that may arise because of the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove some upon notice from the City and to replace all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />30-1 <br />evereft <br />�e� <br />Approved By <br />Dote Approved <br />Variance Required <br />V- <br />No <br />l � <br />X� /,-,tt <br />Signatu a of Applicant <br />_;, r71-� Ste_ Bd�.of•ttuJAy <br />Address <br />A <br />Telephone Number <br />